{% extends "base.html" %}

{% block title %}药品数量{% endblock %}

{% block page_content %}
<div class="page-header">
        <h3>
            请输入已选择的药品数量
        </h3>
</div>
<div class="col-md-4">
<form action="" method="POST" novalidate>
    {% for item in medsnlist %}
    <p>{{ item }} <input type="text" name= "{{ item }}"></p>
    {% endfor %}
    <input type="submit" value="提交">
</form>
</div>
{% endblock %}
